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ProviderCode | Provider Name | Physician ID | Last Name | First Name | Middle Name | TIN # | Specialization | Sub Specialization |
|---|---|---|---|---|---|---|---|---|
'002664 | PMP PAIN CENTER CORPORATION - DASMARI�AS BRANCH | '016550 | ESPELETA | BLITZEN MAXIMILLAN | ARGANA | 306134026 | Physical Medicine & Rehabilitation (PM&R) | |
'002664 | PMP PAIN CENTER CORPORATION - DASMARI�AS BRANCH | '033231 | DESQUITADO | GLENN DALE | MEJIA | Physical Medicine & Rehabilitation (PM&R) |
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